SHANNON RENEE COOK NP-C NPI 1316212673

NPI Information

NPI: 1316212673
Provider Name: SHANNON RENEE COOK, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
245 MEDICAL PARK DR
SUITE C
MARION, VA
ZIP 24354
Phone: (276) 378-3300
Get Directions

Shannon Renee Cook, NP-C is a family nurse practitioner in Marion, VA. Shannon Renee Cook, NP-C NPI is 1316212673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

245 MEDICAL PARK DR
SUITE C
MARION, VA
ZIP 24354-100
Phone: (276) 378-3300
Fax: (276) 378-1265

The NPI 1316212673 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/19/2012 and was last updated on 1/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	19716	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	0024169951	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	VV6952A	MEDICARE PIN	VIRGINIA
2	1316212673	MEDICAID	VIRGINIA
3	Q010323	MEDICAID	TENNESSEE
4	C09112	MEDICARE UPIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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